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Location
Hybrid (Wilmington, United States)
Seniority
Senior
Visa
H-1B filings in 12 months: 4 · for this role: 1
Employment
Full-Time

First seen by Alion on Nov 11, 2026.

Overview
Company
Impact
Profile match
Phreesia is a New York healthcare technology company founded in 2005 that automates patient intake. Its software handles registration, insurance verification and payment before the appointment, replacing clipboards in waiting rooms. The company is listed on the New York Stock Exchange and serves thousands of provider organisations.
Job Description:

Title: Software Engineer 4


Location: Remote Canada (EST or CST); with occasional travel required for client meetings, industry events, conferences, and team collaboration.


Why This Role Exists

Phreesia is looking for a Software Engineer 4 to help design, scale, and support innovative healthcare technology platforms that improve the patient experience.


As a senior-level individual contributor, you will play a key role in technical design, implementation quality, operational excellence, and engineering mentorship. You will collaborate closely with architects, product managers, operations teams, and software engineers to deliver highly available, scalable, and maintainable distributed systems.


Engineers at this level are expected to champion modern engineering practices, including the effective use of AI-assisted development tools such as Claude Code. This includes leveraging AI to accelerate delivery, improve developer productivity, increase test coverage, automate repetitive engineering tasks, support troubleshooting, and improve documentation quality. Engineers are expected to model responsible AI usage practices and help guide other team members in effectively integrating AI into engineering workflows.


What You’ll Spend Your Time Doing
  • Lead the implementation and delivery of scalable software solutions throughout the software development lifecycle.
  • Use AI-assisted engineering tools such as Claude Code to improve engineering efficiency and software quality.
  • Review, refine, and validate AI-assisted outputs to ensure alignment with architectural standards, compliance requirements, and security best practices.
  • Participate in technical design reviews, architectural discussions, and code reviews.
  • Mentor engineers and QA team members on engineering practices, tooling, and technical problem-solving.
  • Own production systems and support operational excellence initiatives.
  • Troubleshoot and resolve complex production issues and escalations.
  • Contribute to CI/CD automation, observability, and platform reliability improvements.
  • Design, build, and maintain automated test frameworks for complex, distributed applications using C#, TypeScript, and modern testing tools such as Playwright or Selenium.
  • Collaborate cross-functionally with Product, Architecture, Operations, and Engineering leadership.
  • Drive engineering best practices related to quality, scalability, testing, documentation, and maintainability.
  • Support sprint planning, estimation, delivery coordination, and Agile execution.

What Makes You a Great Fit

You don’t need to check every box — but this role will feel energizing if you have:

  • Strong experience with Microsoft .NET/C#, cloud-native systems, and distributed architectures.
  • Experience designing and implementing scalable APIs and backend systems.
  • Experience implementing and improving CI/CD pipelines and engineering automation.
  • Experience building and maintaining automated API and integration test suites.
  • Experience mentoring engineers and contributing to technical leadership within teams.
  • Strong understanding of software quality, observability, scalability, and operational excellence.
  • Strong written and verbal communication skills.
  • Experience using AI-assisted engineering tools to improve development workflows and engineering outcomes.
  • The ability to influence engineering standards and drive continuous improvement.

We Do Have A Few Requirements To Check
  • Bachelor’s degree in Computer Science or a related discipline.
  • 5+ years of experience building and supporting distributed software applications.
  • Experience with the following technologies:
    • Microsoft .NET/.NET Framework in C#.
    • SQL Server, MongoDB, and Redis.
    • RESTful APIs.
    • Cloud systems such as AWS, GCP, or Azure.
    • Message queue technologies such as RabbitMQ, MSMQ, SQS, or ElasticMQ.
    • CI/CD and DevOps tooling, including Jenkins or similar CI servers.
    • Observability and monitoring platforms.
    • Testing tools such as Selenium, Playwright, or WireMock.
    • Bruno, Postman, Insomnia, or similar API tools.
    • Healthcare IT standards such as HL7 and FHIR.
    • AI-assisted engineering tools such as Claude Code.

Where You’ll Work

This is a remote role where you’ll collaborate closely with distributed engineering, product, and cross-functional teams to build software that improves the healthcare experience for patients and providers.


You will collaborate closely with architects, product managers, operations teams, and software engineers to deliver highly available, scalable, and maintainable distributed systems.


Occasional travel is required for in-person meetings.


Why Phreesia

Phreesia is on a mission to make healthcare more human, connected, and efficient. Our SaaS platform powers digital check-in and engagement for healthcare organizations nationwide—helping patients feel informed and providers work smarter.


Compensation & RewardsTotal Cash Compensation:
  • 125k-145k CAD depending on qualifications.
  • A comprehensive Total Rewards package designed to support your whole life — not just your work.

We’re proud to be:
  • A five-time Modern Healthcare Best Places to Work winner.
  • Recognized on the Bloomberg Gender Equality Index.
  • Deeply committed to inclusion, growth, and employee experience.

Disclosure: This posting is to fill an existing vacancy.

Who We Are:

At Phreesia, we’re looking for smart and passionate people to help drive our mission of creating a better, more engaging healthcare experience. We’re committed to helping healthcare organizations succeed in an ever-evolving landscape by transforming the way healthcare is delivered. Our SaaS platform digitizes appointment check-in and offers tools to engage patients, improve efficiency, optimize staffing, and enhance clinical care.

Phreesia cares about our employees by providing a diverse and dynamic work environment. We’re a five-time winner of Modern Healthcare Magazine’s Best Places to Work in Healthcare award and we’ve been recognized on the Bloomberg Gender Equality Index. We are dedicated to continuously improving our employee experience by launching new programs and initiatives. If you thrive in a culture of recognition, value inclusivity, professional development, and growth opportunities, Phreesia could be a great fit!

Top-rated Employee Benefits:
  • Remote First: 100% Remote work + home office expense reimbursements+ monthly reimbursement for cell phone, internet and wellness.

  • Top of market rewards: Competitive compensation

  • Take time when you need time: Flexible PTO + company holidays

  • Top class healthcare benefits: Variety of healthcare benefits for you and your family (and your pets!) starting day one

  • Care about your families: Generous top-up for parental leave benefits

  • Support personal development: Continuing education and professional certification reimbursement

  • Connecting in person: Various offsite events and activities for team to connect and meet in person, to support team building and engagement.

  • Giveback to community: Local in-person volunteer events, and give back programs to our communities.

  • Recognition and perks: We have a company wide recognition tool (Phireworks) to celebrate milestones, recognize achievements and strengthen your bond with your teams. You can accumulate points and redeem them for a wide catalogue of items!

  • Diversity and inclusive environment: At Phreesia, all employees are encouraged to bring their authentic self to work, feel supported and perform at their best. We have a variety of Employee Resources Groups (ERGs) which bring together individuals from a wide range of backgrounds, experiences and perspectives, and seek to foster a sense of shared community and empowerment for employees who share a common social identity, such as gender, race, ethnicity, and sexual orientation.

  • Opportunity to join an Employee Resource Group. Learn more here:

Disclosure: Phreesia uses certain automated tools, including artificial intelligence, to support the assessment of applicants for this position.

We strive to provide a diverse and inclusive environment and are an equal opportunity employer.

Originally posted on Himalayas

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